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Which pain reliever for muscle pain is best?

woman with muscle pain holding her arm

Muscle pain, from physical exertion, strain, or chronic conditions, is a common concern for many individuals. If you’re experiencing muscle pain, it can be overwhelming to determine which approach can provide relief. This blog presents both natural methods and medications known to alleviate muscle pain, helping you to evaluate what may be the best method for you.

 What causes muscle pain?

Experiencing muscle pain, (often termed as “myalgia”) can range from a slight nuisance to an overwhelming hindrance in daily life. Understanding the underlying causes aids in selecting the correct treatment and can also offer insights into how to prevent it. Below are the common causes of muscle pain:

Common everyday causes

Most people can easily identify the root cause of their muscle pain, often due to daily activities and minor strains:

  1. Muscle Tension: This can occur in one or more areas of the body, often due to stress or prolonged positions, such as sitting at a desk.
  2. Overexertion: Pushing your body beyond its comfort zone in a workout or demanding task can lead to muscle soreness known as Delayed Onset Muscle Soreness (DOMS).
  3. Muscle Injuries: Sudden motions or mishaps can result in strains or sprains, essentially leading to tears in muscle fibers or ligaments.
  4. Physical Activity Without Preparation: Skipping essential steps like warm-ups and cool-downs before and after exercise can predispose muscles to injury and soreness.

 Medical conditions

While physical activities can be a common source of muscle aches, certain medical conditions can also be the cause of muscle pain and may require attention and specific treatments. Examples include:

  1. Arthritis: While primarily affecting joints, inflammation can also cause surrounding muscle discomfort.
  2. Fibromyalgia: A chronic condition known for its widespread pain in the body, fatigue, and tenderness in localized areas.
  3. Influenza (Flu): Many experience muscle soreness during a flu infection, making it a common cause of muscle aches and pain.
  4. Chronic Fatigue Syndrome: Beyond the severe fatigue, muscle pain is a typical symptom.
  5. Anaemia: While primarily known for fatigue due to reduced red blood cells, it can also result in muscle aches.
  6. Lupus: is an autoimmune disease which can often present with muscle and joint pain.

(The causes highlighted are often related to this symptom. Consult your doctor or healthcare professional for a diagnosis.)

 Natural ways to combat muscle pain

Muscle pain can be unpleasant and interfere with daily life. There are several recommended remedies and practices that can provide pain relief:

  1. Rest: Listen to your body. When you’re experiencing muscle pain, sometimes the best remedy is to simply give your body the time it needs to heal and recover. Overworking a sore muscle can prolong recovery and increase pain.
  2. Heat and cold therapy:

Heat: Applying heat to muscles that are tense or cramped can be beneficial. It increases blood flow, which aids in healing and reduces muscle spasms. A warm bath, heating pad, or even a warm towel can be effective. Do not leave heat pads on for prolonged periods or fall asleep with it on. Wrap in a thin towel or cloth to avoid burning skin.

Cold: For recent injuries (within 48 hours), cold can reduce inflammation and numb the affected area, providing relief. Ice packs or even a pack of frozen vegetables can be a quick solution. Remember to wrap cold objects in a thin towel or cloth to protect skin and avoid ice burns.

  1. Massage: Massaging sore muscles can increase circulation, helping in faster recovery and pain relief. Consider booking a professional massage or even using self-massage techniques for more minor aches.
  2. Stretching: Gentle stretching can alleviate muscle tightness and improve flexibility. Remember to warm up before stretching. However, avoid hyperextending joints or any stretches that cause pain. The goal is to feel a gentle pull, not pain.
  3. Hydration: Muscles are known to cramp or become sore when dehydrated. Drinking plenty of water supports muscle function and helps flush out toxins that might contribute to pain.
  4. Dietary choices: Certain foods have anti-inflammatory properties that can assist in muscle recovery. Foods like berries, fatty fish, and green tea can reduce muscle soreness.
  5. Topical pain relievers: There are various creams, gels, and patches available that contain natural ingredients like menthol or capsaicin. These can be applied directly to the affected area for targeted relief.

Medications for muscle pain

For those experiencing muscle pain that isn’t alleviated by natural methods, medications, both over-the-counter and prescription-based, can provide relief. Here’s a list of common medications for pain relief:

  1. Ibuprofen: An NSAID (non-steroidal anti-inflammatory drug) that helps reduce inflammation, pain, and fever. It’s commonly used for a range of pains, including muscle aches and is widely available over the counter.
  2. Naproxen: Another NSAID, but stronger than ibuprofen. It works similarly to ibuprofen but might have longer-lasting effects. It reduces inflammation and provides pain relief. Naproxen is primarily available as a prescription-only medication. However, lower doses of naproxen can sometimes be obtained over the counter in some pharmacies.
  3. Cocodamol: Often prescribed for moderate to severe pain conditions, cocodamol combines paracetamol and codeine to provide effective muscle pain relief. Learn more about Cocodamol here.
  4. Tramadol: Tramadol is used to treat moderate to severe pain, which isn’t sufficiently managed by over the counter medications. It can help to relieve chronic pains caused by conditions like arthritis or as a second-line treatment for hard-to-treat cases of fibromyalgia. Learn more about Tramadol here.
  5. Dihydrocodeine: Dihydrocodeine is often prescribed for pain that standard painkillers fail to treat. It acts on the central nervous system to prevent pain signals from being transmitted to the brain. Learn more about Dihydrocodeine here.


Note: Cocodamol, Tramadol and Dihydrocodeine are prescription only and requires careful dosage and monitoring due to potential for dependence. Ensure you consult with your doctor about which medication is right for you, understand potential side effects, and use the medication as directed.


As to which pain reliever is best for muscle pain, there is no one-size-fits-all answer. The best approach largely depends on the specific cause and severity of your muscle pain. While natural remedies can provide relief for milder aches, severe or persistent pain might necessitate a more potent approach like prescription medications.

It’s essential to remember that while medications can offer quick relief, they come with their set of potential side effects and considerations. Furthermore, regular self-care practices such as proper hydration, balanced diet, and gentle physical activities can work as preventive measures, reducing the frequency and intensity of muscle pain.

Consult your doctor if your muscle pain doesn’t improve. Whether stemming from a simple strain or an underlying condition, understanding your body and the available remedies and advice will help you navigate the path to recovery more efficiently.


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